Breast Cancer: Joyce's Survivor Story

This breast cancer diagnosis at a glance

Sex
Female
Treatment
surgery and radiation
Outcome
Survivorship / Surveillance

Treatment course, step by step

  1. Lumpectomy for left breast cancer
  2. radiation planning with active breathing control (ABC) heart-sparing technique
  3. kidney mass found incidentally on CT simulation
  4. kidney tumor surgically removed
  5. 3 weeks of 5-days-a-week heart-sparing breast radiation.

What happened, in summary

Joyce McCain, 65, was diagnosed with breast cancer after a mammogram found a mass in her left breast. A follow-up mammogram, immediate ultrasound and biopsy confirmed cancer. After reviewing options, she chose a lumpectomy, a breast-conserving surgery that removed the tumor with surrounding normal tissue. Because lumpectomy usually needs radiation to reduce the chance of cancer returning in the breast, Joyce also wanted an approach that would protect her heart. Her team planned heart-sparing radiation using active breathing control, or ABC. During the technique, Joyce took a deep breath and held it for several seconds while radiation was delivered, helping move the heart farther away from the breast and chest wall. The preparation CT scan unexpectedly captured part of one kidney and showed a large, concerning mass. Additional tests found it was cancerous, but the 3.5-inch tumor was contained within the kidney and was surgically removed. Joyce then completed 3 weeks of breast radiation, 5 days a week, using the heart-sparing technique. As of December 2018, she was well into recovery after treatment for breast cancer and the incidental kidney cancer. She had returned to her work as an audit manager, resumed playing golf and credited a positive attitude, exercise and healthy eating with helping her recover.

Where this story comes from

This is a lay summary of an account first published by Cleveland Clinic. Read the original in full

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